Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON NICHOLAS LAZOR, D.O.
ActiveDR. JASON NICHOLAS LAZOR, D.O. is a Sports Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1083841845 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1083841845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2009 (17.111774572178 yrs)
- Last Updated
- Nov 5, 2024
- Licenses
-
5101020228 (MI)OS015665 (PA)
Practice Information
- Address
-
2770 E BELTLINE AVE NEGRAND RAPIDS, MI, 495258614Browse MI providers · Browse ZIP 49525
- Phone
- 6162678860
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
Other Sports Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| EDWIN T KORNOELJE | D.O. | 1023071727 |
| BRIAN JOSEPH HINKLEY | D.O. | 1619269222 |
| KYLE ALEXANDER | MD | 1902335912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.